In recent years, Colorado has seen a significant rise in syphilis cases, prompting Governor Jared Polis (D-Colo.) to announce a statewide public health order. The main concern is the spread of congenital syphilis among pregnant women and newborns, with a fatality rate being high for babies born to mothers with the disease. According to state statistics, approximately 40 percent of untreated congenital syphilis may result in stillbirth or death.
Governor Polis emphasized that syphilis is a treatable disease for adults, with penicillin typically being effective in treating it. However, the real concern lies with newborns exposed to syphilis, as their fatality rate is significant. To address this issue, the state has implemented several measures to combat congenital syphilis among pregnant women and newborns.
Colorado has seen a sevenfold increase in syphilis cases over the last five years, with 1,084 cases reported in 2018 and 3,266 in 2023. State Epidemiologist Rachel Herlihy described this consistent rise as indicative of a statewide congenital syphilis epidemic. In response to this epidemic, the state is collaborating with various departments such as the Department of Corrections, Department of Public Health and Environment, and Department of Public Safety to reduce cases in correctional facilities.
To address the issue further, Governor Polis announced that testing for syphilis will be covered without co-pays for most insured Coloradans, including those with Medicaid. Additionally, the state plans to increase education efforts about the importance of testing and treating syphilis among individuals who may have the disease but not know it. The focus remains on preventing transmission from pregnant women to their newborns to protect public health.
In conclusion, Colorado’s spike in syphilis cases has led to a statewide public health order aimed at addressing congenital syphilis among pregnant women and newborns. The implementation of various measures such as testing coverage without co-pays and increased education efforts shows that Governor Polis and other officials are taking this issue seriously and working towards protecting public health.